NOVAGRAPH ORDER FORM (October 2002) Purchase orders accepted from corporations, gov't, institutions. SPECIAL INFORMATION FOR INTERNATIONAL ORDERS PAYMENT : Credit cards. Checks / Money Orders in US funds, drawn on US bank, or add $35 for collection fees. International Postal Money Orders in US$ accepted. Currency accepted at your own risk. Mail To: NOVAGRAPH Phone: (972) 231-2169 PO BOX 850115 FAX: (972) 235-0607 RICHARDSON TX 75085-0115 sales@novagraph.com USA http://www.novagraph.com Name: ________________________________________________________ Company: ________________________________________________________ Address: ________________________________________________________ ________________________________________________________ ________________________________________________________ Email: ________________________________________________________ Check here to Download___ ON DOWNLOAD ITEMS, WE SEND INSTRUCTIONS AND SERIAL NUMBERS AFTER WE RECEIVE PAYMENT. Charge #:_________________________________ Expire Date: _________ (Visa, MC, Amex, Discover) Phone: _______________ Signature:________________________________ FAX: _______________ Where did you get the demo version?______________________________ SOFTWARE INCLUDES USER MANUAL IN PDF FORMAT, 1 YR SUPPORT Qty Item (3.5" Disk Format Only) Each Ext Cost ~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ____ Chartist(r) Single User US$ 49.00 _________ ____ Chartist Five User** 140.00 _________ ____ Chartist Ten User** 240.00 _________ ____ Chartist-Pro Single User 89.00 _________ ____ Chartist-Pro Five User** 254.00 _________ ____ Chartist-Pro Ten User** 435.00 _________ ** CHECK HERE FOR NON-NETWORKED MULTIUSER:___ When you check here, we send you multiple single user serial numbers for your total user count. ____ Upgrade Chartist to Chartist-Pro Chartist S/N (reqd):_______________________ Single User (Multiuser: contact us) 50.00 Shipping and Handling (N/A on download items) ____ US: 4.00 (1st Item) 2.50 (Add'l Item) _________ ____ Elsewhere: 7.00 (1st Item) 4.50 (Add'l Item) _________ ____ Foreign bank/check fee (see top): 35.00 _________ Total For Order _________ Tax (8.25% of total, if you are in Texas, USA) _________ Total Including Taxes _________